Knowledge and skills of neonatal resuscitation of health professionals at a university teaching hospital of Northwest Ethiopia

doi:10.5847/wjem.j.issn.1920-8642.2014.03.007

Abstract

Abstract:

BACKGROUND: Competency in neonatal resuscitation is critical in the delivery rooms, neonatology units and pediatrics intensive care units to ensure the safety and health of neonates. Each year, millions of babies do not breathe immediately at birth, and among them the majority require basic neonatal resuscitation. Perinatal asphyxia is a major contributor to neonatal deaths worldwide in resource-limited settings. Neonatal resuscitation is effective only when health professionals have sufficient knowledge and skills. But malpractices by health professionals are frequent in the resuscitation of neonates. The present study was to assess the knowledge and skills of health professionals about neonatal resuscitation.
METHODS: An institution based cross-sectional study was conducted in our hospital from February15 to April 30, 2014. All nurses, midwives and residents from obstetrics-gynecology (obs-gyn), midwifery and pediatric departments were included. The mean scores of knowledge and skills were compared for sex, age, type of profession, qualification, year of service and previous place of work of the participants by using Student's t test and ANOVA with Scheffe's test. A P value <0.05 was considered statistically signiﬁcant.
RESULTS: One hundred and thirty-five of 150 participants were included in this study with a response rate of 90.0%. The overall mean scores of knowledge and skills of midwives, nurses and residents were 19.9 (SD=3.1) and 6.8 (SD=3.9) respectively. The mean knowledge scores of midwives, nurses, pediatric residents and obs-gyn residents were 19.7 (SD=3.03), 20.2 (SD=2.94), 19.7 (SD=4.4) and 19.6 (SD=3.3) respectively. Whereas the mean scores of skills of midwives, nurses, pediatric residents and obs-gyn residents were 7.1 (SD=4.17), 6.7 (SD=3.75), 5.7 (SD=4.17) and 6.6 (SD=3.97) respectively.
CONCLUSIONS: The knowledge and skills of midwives, nurses and residents about neonatal resuscitation were substandardized. Training of neonatal resuscitation for midwives, nurses and residents should be emphasized.

Key words: Neonatal resuscitation, Knowledge, Skill, Health professionals

Endale Gebreegziabher, Adugna Aregawi, Habtamu Getinet. Knowledge and skills of neonatal resuscitation of health professionals at a university teaching hospital of Northwest Ethiopia[J]. World Journal of Emergency Medicine, 2014, 5(3): 196-202.

Figures/Tables 5

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Questions	Frequency	Percentage (%)
Wiping meconium from face and nose while head appears before delivery is important to prevent aspiration	46	90.2
The baby should be placed on the abdomen of the mother in skin to skin contact and be covered with fresh, dry linen to prevent hypothermia	45	88.0
Face mask should cover nose mouth and chin during mask ventilation	49	96.1
Measures for difficult mask ventilation	43	84.3
Ventilation should be commenced within one minute for newborns who have no breathing efforts immediately after delivery	39	76.5
If the baby is not breathing after full delivery, the mouth and nose should be suctioned before drying and stimulating	28	54.9
The recommended position for the baby to lie after delivery	31	60.8
How long the baby should be closely observed after the baby starts spontaneous breathing before deciding to do routine essential cares	35	68.6
Methods confirmation of effective mask ventilation	35	68.6
The correct size of laryngoscope for term newborn	15	29.4
What other equipments do you think are necessary for intubation other than ETT and laryngoscope	27	52.0
Depth of chest compression for neonates during CPR (31, 60.8%) and heart rate <60 bpm for neonates and infants is considered as cardiac arrest	27	52.9

Parameters	Sum of squares	df	Mean square	F	Sig
Type of profession
Between groups	8.142	3	2.714	0.270	0.847
Within groups	1 317.606	131	10.058
Total	1 325.748	134
Years of services
Between groups	29.937	3	9.979	1.009	0.391
Within groups	1 295.811	131	9.892
Total	1 325.748	134

Demographics	Number	Mean score	Standard deviation	P value
Sex				0.024
Male	79	20.4	3.12
Female	56	19.2	3.05

Parameters	Sum of squares	df	Mean square	F	Sig
Type of profession
Between groups	18.030	3	6.010	0.379	0.769
Within groups	2 079.303	131	15.873
Total	2 097.333	134
Years of services
Between groups	90.801	3	30.267	1.976	0.121
Within groups	2 006.532	131	15.317
Total	2 097.333	134

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